WILLIAM K. VANDERWAAL

BLOOMINGTON, IL
NPI1720004070
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: IL  019-013693)
Enumeration Date2006-07-13
Last Update Date2007-07-08
Business Address
Dr. WILLIAM K. VANDERWAAL D.D.S.
2103 E WASHINGTON ST
BLOOMINGTON, IL 61701-4310
Phone number: 309-662-3355
Mailing Address
Dr. WILLIAM K. VANDERWAAL D.D.S.
2103 E WASHINGTON ST
BLOOMINGTON, IL 61701-4310
Phone number: 309-662-3355
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